[Right atrial thrombosis--a difficult diagnostic and therapeutic problem].
Right atrial thrombi have been diagnosed more frequently since the widespread use of two-dimensional echocardiography. The authors present current opinions on etiology of right heart thrombi. They can originate from two sources: type A thrombi originate in deep peripheral veins; they have worm-shape and they are extremely mobile or they develop within the right heart chambers-type B-they are then parietal and immobile. Clinical significance, prognosis in both types of thrombi is discussed and the guidelines for treatment are presented. Type A patients are a high risk group because of frequent incidence of severe pulmonary embolism and excessive mortality rate so aggressive therapy is required (surgery or fibrinolysis when surgery is contraindicated). Type B thrombi are much more benign, usually they do not lead to the death and treatment with anticoagulants seems to be sufficient.
Mularek-Kubzdela
T
T
I Kliniki Kardiologii Instytutu Kardiologii Akademii Medycznej w Poznaniu.
Grygier
M
M
Grajek
S
S
Cieśliński
A
A
D000925:Anticoagulants / Q000627:therapeutic use; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D006801:Humans; D011379:Prognosis; D011655:Pulmonary Embolism / Q000209:etiology / Q000401:mortality; D012307:Risk Factors; D015996:Survival Rate; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*
D000925:Anticoagulants
Skrzepliny prawego przedsionka--trudny problem diagnostyczny i terapeutyczny.